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Bone > Cheung Part 5 > Flashcards

Cheung Part 5 Flashcards

1
Q

what is impingement syndrome

A

inflammation of subacromial bursa and rotator cuff tendons in middle aged persons

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2
Q

what are the symptoms of impingement syndrome

A

lateral shoulder pain with overhead activity

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3
Q

what exam results are seen in impingement syndrome

A

positive hawkins, supraspinatous test

no weakness

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4
Q

what test results are seen in impingement syndrome

A

X-rays negative
MRI shows inflammation but no tear (partial thickness tear is b/c blood flow reaches eddy- some blood from bone some form muscle)

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5
Q

what is the treatment for impingement syndrome

A

PT
steroid injection
surgical decompression

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6
Q

what is elbow epicondylitits

A

degenerative painful condition of the ECRB tendon and/or flexor-pronators

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7
Q

wha are the symptoms of elbow epicondyltitis

A

35-50 year old with pain on either the medal or lateral epicondyle with activity

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8
Q

what exam results are seen with lateral (tennis) elbow epicondyltits

A

pain with resisted extension of the wrist with forearm pronated (extensor carpe radialis brevis)

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9
Q

what exam results are seen with medial elbow (golfer) epicondyltitis

A

pain with resisted flexion of the wrist with forearm pronated (flexor pronators)

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10
Q

what is the treatment for elbow epicondylitis

A 
tennis elbow strap
ice
larger grips
steroid injection
surgical debridement
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11
Q

what is a meniscal tear and what are the symptoms

A

fraying or tear of menisci

locking and catching in the knee

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12
Q

what exam results are seen in a meniscal tear

A

McMurrays

joint line tenderness

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13
Q

what test results are seen in meniscal tear

A

Xray negative

MRI shows tear

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14
Q

what treatment is there for a meniscal tear

A

PT

arthroscopic debridement

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15
Q

what is olecranon bursitis and what may cause it

A

inflammation of the olecranon bursa

gout

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16
Q

what symptoms are seen in olecranon bursitis

A

swelling

painful posterior elbow

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17
Q

what exam results are seen in olecranon bursitis

A

mass over tip of elbow, tender, red, hot

18
Q

what tests are done for olecranon bursitis

A

aspiration for crystals and infection

19
Q

what is the treatment of olecranon bursitis

A

NSAIDs for acute, ice

surgical removal

20
Q

patellofemoral pain is what

A

pain around the patella without signs of arthritis, common in teenage during growth spurt

21
Q

what are the symptoms of patellofemoral pain

A

achy pain anterior knee worse after long periods of sitting (theatre sign) and climbing stairs

22
Q

what exams are done for patellofemoral pain

A

Q angle (up to 22 in females and 15 in males is acceptable)
patellar apprehension
resisted extension of knee

23
Q

what is the treatment for patellofemoral pain

A

PT for quad strength

24
Q

what is plantar fasciitis

A

degenerative tear of plantar facia, more common in women and overweight persons with tight gastroc-soleus tendons

25
Q

what are the symptoms of plantar faciitis and what is seen on physical exam

A

worse heel pain in AM, insidious onset

tender on medial and lateral calcaneous, tight dorsiflexion

26
Q

what test results are seen in plantar fasciiitis

A

X-rays show heel spur (NOT CAUSE OF PAIN) but symptom

27
Q

what is treatment for plantar fasciitis

A

NSAIDs, heel cups, stretches of heel cord
injections
surgical release

28
Q

rotator cuff tear is of what

A

supraspinatus (most common)., infraspinatus, subscapularis, or teres minor

29
Q

what are the symptoms of a rotator cuff tear

A

pain with overhead activity, catching, grating sensation

30
Q

what exam results are seen in a rotator cuff tear

A

positive drop arm
hawkins
weak supraspinatous
weak external rotation

31
Q

what test results are seen in a rotator cuff tear

A

X-rays show high riding humeral head

MRI shows discontinuity of tendon

32
Q

what is the treatment for a rotator cuff tear

A

PT and NSAIDS

repair of tendons (arthroscopically or open)

33
Q

rupture of the proximal biceps tendon is what

A

rupture of long head of biceps, with labral injury

34
Q

what are the symptoms of a rupture of the proximal biceps tendon

A

sudden pain

buldge in arm

35
Q

what exam results are seen in a rupture of the proximal biceps tendon

A

popeye arm

pain with supination

36
Q

what test results are seen in a rupture of the proximal biceps tendon

A

Xrays negative

MRI shows tear with hematoma

37
Q

what is the treatment for a rupture of the proximal biceps tendon

A

NSAIDs, PT

occasionally will tenodesis

38
Q

Trochanteric Bursitis is what

A

inflammation of greater trochanteric bursa from tight IT band

39
Q

what are the symptoms of trochanteric bursitis

A

lateral hip pain, unable to lie on side

40
Q

what are the exam and test results seen in trochanteric bursitis

A

point tender over posterior GT
Ober’s test
Xrays negative
MRI shows swelling of bursa

41
Q

what is the treatment for trochanteric bursitis

A

NSAIDs

PT for stretches and strengthening

Bone (19 decks)

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